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CMS ACO ID A1196. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.

Financial assistance options; toll-free (833) 978-0983. Submit FA documents to the CBO address on the financial assistance page.

Email completed Authorization to Disclose Health Information form; fees may apply (no charge for records sent directly to a provider).

Billing questions, payment plans and phone payments; toll-free (866) 364-9344. Methodist Southlake Medical Center bills are paid through a separate link.

Discuss patient portion due before scheduled services. Other campuses: Southwest (214) 947-5516; Mansfield (682) 622-7004; Richardson (469) 204-2120; Midlothian (469) 846-6102; Southlake (682) 335-2107.

Patient records with signed authorization and photo ID. Third-party requests: San Antonio SSC, PO Box 292369, Nashville, TN 37229-2369. Physician STAT continuity-of-care requests fax (786) 206-0841 on letterhead.

Pre-service price estimates (insured and self-pay). Questions on a prior bill: call the customer service number on the statement. Methodist Hospital main line 210-575-4000.

Hospital billing questions and phone payments (also toll-free 888-528-9775). Patient payments by mail: P.O. Box 738142, Dallas, TX 75373-8142. Payer/insurance payments: P.O. Box 732872, Dallas, TX 75373-2872.

Medical Financial Assistance Program questions and requests for free mailed copies of policies/applications (local 901-842-1260). Admissions/registration staff can also help with applications.

Mail completed Medical Authorization Form with photo ID; electronic requests and walk-in at any MLH registration desk also accepted. Healthcare/third-party requestors can use EpicCare Link via MethodistMD.

Medical staff services / credentialing for Methodist Le Bonheur hospitals; fax and mailing address on the Medical Staff Services contact page (1265 Union Avenue, Memphis, TN 38104).

2026 federal plan brochure: dentists may call (877) 638-3379 / (877) MET-DDS9 to confirm enrollment and benefits; the dentist site (dentalprovider.metlife.com) and number are for dentists only, not members. A 2027 group handbook also says dentists can request a benefit estimate by calling this number.

Address printed in the federal dental plan brochure for mailed claim forms. Dentists are encouraged to file online at the MetLife dentist site; confirm plan-specific addresses on the member's ID card.

Group handbook: have your dentist visit metdental.com or call 866 PDP NTWK (866 737 6895) for a network application; site and phone are for dental professionals only.

VADIP enrollment, benefits and policy service only; not a universal MetLife dental claims fax.

Clinic and vital-record hours differ; consult the specific program.

Published claims-appeal fax. Appeal mailing is withheld because the same PO Box appears with ZIP 35242 in the appeal section and 35283-0480 in the original-claims section; confirm the correct appeal address with Provider Services. New York plan administration; use the member’s exact MetroPlusHealth product. No county or product eligibility is inferred from office locations.

DentaQuest handles dental utilization management for MetroPlusHealth.

The submission section separately lists Medicare and Medicaid/Child Health Plus/Essential/Partnership in Care/Gold/MLTC/Enhanced/QHP plans at this PO Box and ZIP. Electronic payer ID 13265. The appeal section prints a different ZIP; the conflicting appeal/courier address is withheld. New York plan administration; use the member’s exact MetroPlusHealth product. No county or product eligibility is inferred from office locations.

Pharmacy-benefit prior authorization for plans other than Medicaid/SNP/CHP/HARP and Medicare.

Part D pharmacy prior authorization for MetroPlusHealth Medicare plans.

Pharmacy prior authorization route listed by MetroPlusHealth for these plans (page last updated October 21, 2026). Medicaid pharmacy benefits are administered by NYRx.

Notify MetroPlusHealth Provider Services of practice changes via the provider portal, phone (800.303.9626 or 212.908.3691), email (shown on page) or mail.

Provider contact page is marked updated May 22, 2024; the current claims page corroborates this phone and schedule. New York plan administration; use the member’s exact MetroPlusHealth product. No county or product eligibility is inferred from office locations.

Specialty drug requests for non-Medicare MetroPlusHealth members.

Maine CDC official local-health-officer directory. Department contact number is reproduced without staff names or personal email addresses. State page provides no record update date, office address, fax or public mailbox. Read only; telephone reachability not tested.

Main phone listed in the HHSC LMHA/LBHA directory (additional main number 979-822-6467). Texas HHSC-contracted local mental health authority; counties served: Brazos, Burleson, Grimes, Leon, Madison, Robertson, Washington. Website: https://mhmrabv.org/. Crisis line (24/7 referral help): 888-522-8262. For patient access use the intake/crisis lines; not a payer claims line.

Main phone listed in the HHSC LMHA/LBHA directory. Texas HHSC-contracted local mental health authority; counties served: Coke, Concho, Crockett, Irion, Reagan, Sterling, Tom Green. Website: https://mhmrcv.org/. Crisis line (24/7 referral help): 800-375-8965 / 325-653-5933. For patient access use the intake/crisis lines; not a payer claims line.

Maine CDC official local-health-officer directory. Department contact number is reproduced without staff names or personal email addresses. State page provides no record update date, office address, fax or public mailbox. Read only; telephone reachability not tested.

Contact and county association read from the state local health department directory. Department website is the directory link and was not independently checked unless listed as a related source. No publication date is stated in the directory; sourceCheckedAt is the research date.

County public health administrative contact published in the KDHE directory, updated July 23, 2026. Program availability and eligibility require department confirmation.

Published in the Ohio Emergency Management Agency local health department dataset, sourced from ODH OneSource and last updated October 5, 2026. The dataset lists this as an active local health department. The update date describes the dataset, not a telephone verification. No county service area is inferred from the office address or location-county field. County association reviewed against the separately linked service-area source. Scope evidence comes from the indexed official PDF text. Direct retrieval currently returns the new website application shell, not the PDF; the indexed extract is preserved. No complete legal jurisdiction is asserted.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). Questions on approved authorizations and payment for Home Help/AFC/NEMT and personal care claims.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). Becoming an electronic biller, 835/837 companion guides, testing, and CHAMPS 270/271 batch.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). For beneficiaries: programs, billing problems, mihealth card replacement. Not a provider line.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). MDHHS actions with rights for informal conferences or administrative hearings.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). Medicaid health plan enrollment and plan change (number revised 10/1/2026).

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). Michigan Public Health Institute: free web eligibility (hpb.mihealth.org) and 270/271; phone listed for Medicare DSH audit eligibility over 12 months.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). 844-PACERMI. Telephonic PA for Medicaid/CSHCS med-surg inpatient admissions, acute-to-LTACH, freestanding rehab, ventilator-dependent units and specified DME/medical supplies.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). No other paper claim formats accepted.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). Prescribers call for clinical prior authorization and non-preferred drugs. The appendix also prints a second fax as "887-888-6370", an apparent misprint; it was not used.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). Non-clinical prior authorization and early refills for FFS pharmacy.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026).

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). Program Review Division fax for FFS NEMT, FFS private duty nursing and NF complex care PA, and dental PA change requests.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). Fee-for-service PA for all services except hospital, specified DME, pharmacy and NEMT; also dental PA. Health plan enrollees: contact the Medicaid Health Plan.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). Questions about requesting an administrative hearing for provider appeals; alternate phone 517-335-7519.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). Phone for enrollment questions is the CHAMPS helpline 1-800-292-2550 (already on this record). Includes Pay To address changes.

Atypical providers: 800-979-4662.

Source: Medicaid Provider Manual Directory Appendix (version October 1, 2026). Fax completed forms per Document Management Portal instructions.